Addison Hawthorne, is a
Social Worker - Clinical based in Pomona, California. Addison Hawthorne is licensed to practice in California (license number 106799) and his current practice location is
2008 N Garey Ave, Pomona, California. He can be reached at his office (for appointments etc.) via phone at
(909) 623-6131.
NPI number for Addison Hawthorne is 1003946435 and his current mailing address is 1900 Royalty Dr Ste 180, Pomona, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003946435.
Healthcare Provider's Profile
| Full Name | Addison Hawthorne |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2008 N Garey Ave, Pomona, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003946435
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 04/02/2024
Medical Identifiers
Medical identifiers for Addison Hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003946435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106799 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Addison Hawthorne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Addison Hawthorne,
1900 Royalty Dr Ste 180,
Pomona, CA 91767-3046
Ph: (909) 623-6131 | Addison Hawthorne,
2008 N Garey Ave,
Pomona, CA 91767-2722
Ph: (909) 623-6131 |
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